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首页> 外文期刊>Journal of Clinical Ultrasound: JCU >Hepatic hemangioendothelioma: prenatal sonographic findings and evolution of the lesion.
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Hepatic hemangioendothelioma: prenatal sonographic findings and evolution of the lesion.

机译：肝血管内皮瘤：产前超声检查结果和病变演变。

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摘要

We describe a case of hepatic hemangioendothelioma that was first suspected based on prenatal sonographic findings at 19 weeks' menstrual age. At 16 weeks, the patient presented with a markedly elevated maternal serum alpha-fetoprotein level. Serial sonographic examinations revealed that the fetus had cardiomegaly, hepatomegaly with a hepatic mass and dilated intrahepatic vessels, a single umbilical artery, and a placental chorioangioma. Arteriovenous shunting within the hepatic mass was seen using color Doppler and pulsed Doppler sonography. An enlarged artery arising from the abdominal aorta supplying the mass was demonstrated. Postnatal physical examination and radiologic studies supported the diagnosis of hepatic hemangioendothelioma. The evolution in the sonographic appearance of this hepatic lesion in utero over a 17-week period is described. Copyright 2000 John Wiley & Sons, Inc.
机译：我们描述了一个肝硬化血管内皮瘤病例，该病例首先基于月经19周时的产前超声检查结果而怀疑。在16周时，患者的孕妇血清甲胎蛋白水平明显升高。连续的超声检查发现胎儿有心脏肥大，肝肿大，肝块和肝内血管扩张，单条脐动脉和胎盘绒毛膜血管瘤。使用彩色多普勒和脉冲多普勒超声检查可以看到肝肿块内的动静脉分流。证实了由腹主动脉提供肿块引起的动脉增大。产后体格检查和放射学研究支持了肝血管内皮瘤的诊断。描述了该肝病变在子宫内在17周内的超声表现演变。版权所有2000 John Wiley＆Sons，Inc.

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